Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $346.74 / $9,772.37	Facility		$177.83	$346.74	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $295.12	Professional		$173.78	$173.78	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $389.05	Facility		$218.78	$218.78	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $234.42 / $323.59	Facility		$173.78	$234.42	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $398.11	Professional		$173.78	$190.55	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $239.88 / $446.68	Facility		$173.78	$239.88	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $354.81	Professional		$173.78	$181.97	$354.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $173.78 / $199.53	Facility		$141.25	$173.78	$199.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $346.74 / $346.74	Professional		$58.88	$346.74	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $173.78 / $251.19	Facility		$141.25	$173.78	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $2,951.21	Professional		$173.78	$190.55	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $173.78	Professional		$58.88	$70.79	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $512.86	Professional		$173.78	$269.15	$512.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $870.96	Facility		$173.78	$173.78	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $2,951.21	Professional		$173.78	$302.00	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $288.40	Professional		$128.82	$186.21	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $173.78	Facility		$165.96	$165.96	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $208.93	Professional		$173.78	$186.21	$208.93